Ceska Gynekologie-Czech Gynaecology最新文献

{"title":"Treatment of stress urinary incontinence using a single incision sling, quality of fixation of implants into the obturator complex and its influence by infiltration anesthesia.","authors":"Petr Kolek, Tereza Duchoňová","doi":"10.48095/cccg2026341","DOIUrl":"https://doi.org/10.48095/cccg2026341","url":null,"abstract":"<p><p>This article reviews current surgical options for treatment of stress urinary incontinence (SUI), focusing on Single Incision Sling (SIS) systems and the effect of infiltration anesthesia on implant fixation within the obturator complex. By analyzing the current literature, this study highlights the advantages of minimally invasive approaches - such as reduced surgical burden, shorter recovery time, and lower economic costs - while identifying their limitations in long-term efficacy. Anatomical and technical factors responsible for failure of different generations of SIS are discussed, particularly inadequate fixation and incompatibility with variable pelvic dimensions. Special attention is paid to infiltration anesthesia, which can alter tissue perfusion and cause local tissue loosening, thereby reducing anchor stability. Despite the procedural advantages of SIS, the retropubic approach remains the gold standard due to its higher long-term success rate and stability. The article emphasizes the importance of individualized surgical planning and calls for further studies aimed at optimizing both minimally invasive techniques and anesthetic protocols. It also emphasizes initial conservative therapy and the use of bulking agents to treat SUI.</p>","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 4","pages":"341-346"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of selected dimensions of pelvic floor structures on the process of delivery - a review of the literature.","authors":"Martina Dostalová, Samuel Tvarožek, Martina Szypulová, Anežka Šteflová, Martin Huser, Lukáš Hruban","doi":"10.48095/cccg2026148","DOIUrl":"10.48095/cccg2026148","url":null,"abstract":"<p><p>Muscular and connective tissue structures of the pelvic floor play a crucial role throughout a woman's life, exerting significant influence on the course of childbirth. Injury to these soft tissues during delivery can substantially affect a woman's postpartum quality of life. In recent years, research has increasingly focused on evaluating pelvic floor structures prior to labor to determine whether functional or anatomical changes contribute to the labor process and its outcomes. Transperineal ultrasound has emerged as a promising tool for objectively assessing the preparedness of pelvic floor musculature for vaginal delivery. This paper summarizes current scientific evidence on the use of transperineal ultrasound in the assessment of selected dimensions of pelvic floor structures and their impact on labor progression. Several studies have demonstrated that significantly reduced dimensions of the genital hiatus are significantly associated with an increased risk of operative delivery and a prolonged second stage of labor. In the future, transperineal ultrasound may help identify women with an elevated risk of delivery-related complications. Such identification could support individualized strategies to mitigate these risks or guide the selection of the most appropriate mode of delivery, considering other clinical and obstetric factors. However, at present, pelvic floor assessment via transperineal ultrasound cannot be considered as a standalone marker for determining optimal delivery strategy. Childbirth remains a multifactorial process, and pelvic floor morphology represents only one of many variables influencing its course. Further research is needed to validate the clinical utility of this method and to establish its role in obstetric decision-making.</p>","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 2","pages":"148-156"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ovarian cancer and multimodal prehabilitation options - a case study.","authors":"Petra Sládková, Marie Tichá, Michaela Švábenická, Kateřina Kotrbová, Anna Šályová, Zuzana Vlastníková, Markéta Janatová, Kristýna Hoidekrová, Markéta Polková, Michal Zikán, Tomáš Brtnický","doi":"10.48095/cccg202641","DOIUrl":"10.48095/cccg202641","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this case report is to present the impact of multimodal prehabilitation on the quality of life, cognitive performance, physical fitness, and nutritional status in a patient with advanced ovarian cancer.</p><p><strong>Methods: </strong>A 74-year-old woman with high grade serous ovarian carcinoma pT3bN1a was scheduled for radical surgery following three cycles of neoadjuvant chemotherapy. She underwent a three-week intensive multimodal prehabilitation program in a 4/7 regimen involving physiotherapy, occupational therapy, nutritional counselling, psychological support, and supervision by a rehabilitation physician. The effect was evaluated using functional and cognitive tests, stress and disability scales, and body composition analysis (InBody).</p><p><strong>Results: </strong>Improvement was observed across all major domains: reduction in disability (WHODAS 20 → 5%), enhancement of cognitive function (MoCA 22 → 25), decreased perceived stress (PSS-10 17 → 11), reduction in frailty (FI 3 1), and restoration of full independence in activities of daily living (Katz Index 6/6). Physical performance showed marked gains (6MWT +42 m, 5×SST -6.5 s, handgrip strength +4 kg), while pulmonary function tests confirmed improved ventilatory capacity (FVC, FEV1, PEF). Nutritional assessment indicated a reduced risk of malnutrition according to the MUST screening tool, although bioimpedance analysis demonstrated a mild increase in total body fat and visceral adipose tissue.</p><p><strong>Conclusion: </strong>Intensive multimodal prehabilitation positively influenced the patient's psychosensory-motor potential, reduced disability, enhanced perioperative fitness, and confirmed its indispensable role in oncogynecology.</p>","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 1","pages":"41-45"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"150 years of the Apolinář maternity hospital in Prague - the history of one of the longest-running maternity hospitals in the world.","authors":"Martin Kovář, Antonín Pařízek","doi":"10.48095/cccg2026329","DOIUrl":"10.48095/cccg2026329","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this review study is to commemorate the 150-year history of Hlávka's Maternity Hospital in Prague, to analyze its historical development, and to highlight the contributions of key individuals who played a major role in the advancement of Czech obstetrics, gynecology, neonatology, and perinatology.</p><p><strong>Study design: </strong>A narrative review based on the analysis of published primary sources, memoirs of prominent physicians, and available secondary literature.</p><p><strong>Methods and results: </strong>Numerous studies have addressed various aspects of the history of the Apolinář Maternity Hospital, ranging from the early development of obstetric care in Prague through construction of the original Provincial Maternity Hospital and its subsequent evolution during the Habsburg Monarchy, the First Czechoslovak Republic, the Protectorate period, Communist Czechoslovakia, and the contemporary Czech Republic. However, apart from the extensive monograph authored by the present authors, a comprehensive synthetic study of this kind has been lacking. The present article summarizes the principal historical stages in the development of the institution and places them within a broader medical, academic, and social context. Particular attention is devoted to the physicians and scholars whose work significantly influenced the development of Czech obstetrics and gynecology.</p><p><strong>Conclusion: </strong>Hlávka's Maternity Hospital at Apolinář in Prague represents a unique healthcare, scientific, and educational institution. It ranks among the world's longest continuously operating maternity hospitals, and its significance extends far beyond the boundaries of Czech obstetrics and gynecology. For 150 years, it has maintained continuity in clinical care, medical education, and scientific advancement despite profound political and social changes, including the periods of Nazi occupation and Communist rule.</p>","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 4","pages":"329-335"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prenatal sonographic features and outcomes of radial ray defects - a 14 case series with a literature review.","authors":"Gökhan Ünver, Sercan Serin, Miğraci Tosun, Handan Çelik, Mesut Önal, Ümmet Abur, Engin Altundağ","doi":"10.48095/cccg202635","DOIUrl":"10.48095/cccg202635","url":null,"abstract":"<p><strong>Objective: </strong>In this study, we aimed to present the demographic, ultrasonographic, genetic, obstetric, and postpartum results of 14 patients diagnosed with radial ray defects.</p><p><strong>Materials and methods: </strong>Fourteen patients diagnosed with radial ray defects. Non-development or hypoplasia of any preaxial part of the upper extremity on ultrasonography was considered a radial ray defect. Maternal age, gestational week at diagnosis, laterality of the radial ray defect, genetic results, presence of comorbid anomalies, termination status, and postpartum prognosis were obtained.</p><p><strong>Results: </strong>The range of maternal age at the time of diagnosis was 17-38 years and the gestational age ranged between 14-26 weeks. Four of the radial ray defects were bilateral, and ten were unilateral. Trisomy 18 was identified in two cases. Eight cases accepted the termination procedure. Three cases rejected termination and had spontaneous intrauterine death during pregnancy follow-up. One case was diagnosed with VACTERL association and died postpartum on the 13th day. One case was monitored due to Fanconi aplastic anemia and one case had amniotic band syndrome in etiology and lives with a prosthetic arm.</p><p><strong>Conclusion: </strong>The frequency of a radial ray defect accompanied by syndromic and congenital anomalies was high, and visualization of the radial bone or other preaxial bone structures on the 1st trimester fetal ultrasonography will ensure the diagnosis of a radial ray defect in early gestational weeks. In the case of a radial ray defect diagnosis, systemic organ screening should be performed with detailed ultrasonography and the necessary invasive procedure for karyotype examination should be advised to all families.</p>","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 1","pages":"35-40"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pelvic floor muscles High-Intensity Tesla Stimulation.","authors":"Martin Huser","doi":"10.48095/cccg20265","DOIUrl":"10.48095/cccg20265","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Stress urinary incontinence (SUI) represents a significant health problem for women, which fundamentally reduces the quality of life. Conservative treatment mainly includes pelvic floor muscle training, where the effectiveness is limited by the patient's ability to actively engage the muscles and long-term compliance. An alternative is electrical stimulation of the pelvic floor, which, however, is sometimes painful and requires invasive application of probes to the pelvic floor. A new option is high-frequency electromagnetic stimulation using High-Intensity Tesla Stimulation (HITS) technology, which induces intense muscle contractions without the need for insertion of probes or electrodes and with higher patient tolerance. The aim of the study was to evaluate the effectiveness of six HITS sessions in women with SUI - based on subjective assessment by patients and objective assessment of muscle strength according to the modified Oxford scale (MOS) and electromyographic activity of the pelvic floor using the Multiple Array Probe Leiden (MAPLe) probe).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A prospective study was conducted at the urogynecological center Gyn-Line in Brno from February to September 2025. Twenty women with urodynamically proven SUI who did not wish to undergo surgical treatment of the disease were included. Patients underwent six sessions of high-frequency electromagnetic stimulation HITS on the MagRex Pelvic Seat device over 4-5 weeks. The protocol included contractions at frequencies of 25 Hz, 35 Hz, and 35-75 Hz according to tolerance. Evaluation of effectiveness included MOS, electromyographic activity of the pelvic floor muscles measured by the MAPLe probe, and a subjective Patient Global Impression of Improvement (PGI-I) questionnaire. Statistical analysis was performed using a Student's t-test at a significance level of P &lt; 0.05.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;All patients (N = 20; age 62.5 ± 9.4 years; parity 2.4 ± 2.7; BMI 29.2 ± 6.4 kg/m²; 90% postmenopausal) completed the series of six sessions without adverse effects. The procedure was evaluated as painless and well tolerated. Muscle strength according to MOS increased from 2.4 to 3.8 (increase of 58.3%). Electromyographic activity of the pelvic floor muscles measured by MAPLe increased from 7.0 to 9.9 μV/s (increase of 41.4%). Subjective assessment according to PGI-I improved from 4.0 to 5.9 (increase of 47.5%). All differences were statistically significant (P &lt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The results demonstrated that high-frequency electromagnetic stimulation HITS of the pelvic floor is a safe and effective method of conservative treatment of stress urinary incontinence in women. This therapy led to statistically significant improvement in muscle strength assessed by the Oxford scale, electromyographic activity of the pelvic floor according to MAPLe, and also subjective perception of difficulties by patients. HITS may thus repr","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 1","pages":"5-10"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current insights into the role of uterine natural killer cells in human reproduction.","authors":"Pavel Otevřel","doi":"10.48095/cccg2026226","DOIUrl":"https://doi.org/10.48095/cccg2026226","url":null,"abstract":"<p><p>Human reproductive efficiency is relatively low compared with that of other mammals, a phenomenon that may be linked to evolutionary factors. One of the principal biological contributors is the high incidence of aneuploidy in oocytes and embryos, a risk that increases markedly with advancing maternal age. Successful implantation requires not only a genetically normal embryo, but also a receptive endometrium and a functional feto-maternal dialogue. Nevertheless, even after the transfer of a euploid embryo, implantation occurs in only 60-70% of cases, underscoring the importance of the uterine environment for successful embryo attachment. A key element in the implantation process is the immunological balance at the feto-maternal interface. Uterine natural killer (uNK) cells constitute the dominant lymphocyte population within the decidua and play essential roles in implantation, placentation, and fetal immunotolerance. Their function is mediated, among other mechanisms, by interactions with trophoblast cells through killer-cell immunoglobulin-like (KIR) receptors and human leukocyte antigen C (HLA-C) antigens. Imbalances in these interactions can contribute to pregnancy pathologies such as implantation failure, miscarriage, preeclampsia, and fetal growth restriction. Although current diagnostic methods enable assessment of immunological conditions in reproductive tissues, interpreting these findings in the context of fertility or infertility remains challenging. Emerging research directions include the application of molecular genetics and detailed characterization of distinct NK cell subpopulations. Despite recent advances, therapeutic modulation of immunological mechanisms in reproduction remains limited and warrants further investigation.</p>","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 3","pages":"226-231"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Significance of positive excision margins in therapy of high-grade vulvar precancerosis - analysis of own data and literary review.","authors":"Daniel Driák, Marek Pluta, Miroslav Hricko, Karel Hurt","doi":"10.48095/cccg202616","DOIUrl":"10.48095/cccg202616","url":null,"abstract":"<p><strong>Objective: </strong>In many countries, the incidence of vulvar intraepithelial neoplasia as a precursor of vulvar squamous cell carcinoma has highly increased over the last 3 decades, while the incidence of cancer remained relatively unchanged. Among risk factors for recurrence, resp. progression, usually involve positive excision margins. The aim of the paper is to evaluate the risk of recurrence and progression of high-grade vulvar precancerosis in patients with histological margins \"non in sano\" - analysis of our own data.</p><p><strong>Materials and methods: </strong>The retrospective study included 62 women after surgical resection of high-grade vulvar precancerosis with histological results of positive excision margins. Using the PubMed database, the results were compared with literary data.</p><p><strong>Results: </strong>Total of 35 (56.5%) patients underwent repeated surgery on the vulva. Inhalf of them (18-51.4%), histological results showed recurrence at the same stage, and in the second half of the women, no dysplastic changes were detected. There was no progression to invasive cancer in any of the patients.</p><p><strong>Conclusion: </strong>Beyond positive excision margins, the other predictive factors seem to be even more important for recurrence or progression of vulvar precancerosis including age, smoking, immunosuppression, radiotherapy, concomitant lesions in the vagina or cervix, and bioactivity of the human papilloma-virus. Instead of repeated resection to reach histological negative margins, we prefer the long-time, resp. long-life dispensarisation.</p>","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 1","pages":"16-20"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"vNOTES hysterectomy reduces laparotomy conversion rates in class III obesity - a retrospective comparative study.","authors":"Yusuf Ziya Kizildemir, Mehmet İncebıyık","doi":"10.48095/cccg2026102","DOIUrl":"10.48095/cccg2026102","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to compare the outcomes of laparoscopic hysterectomy (LH) and vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) hysterectomy (vNH) in obese patients undergoing the procedure for benign gynaecological indications, with results classified according to obesity class (class I, II, and III).</p><p><strong>Materials and methods: </strong>We retrospectively reviewed the data of patients with a body mass index (BMI) ≥ 30 kg/m² who underwent either LH or vNH for benign indications at a tertiary teaching and research hospital between January 2020 and December 2024.</p><p><strong>Results: </strong>A total of 134 patients (70 LH, 64 vNH) were included in this single-centre study. The median operative time was significantly longer in the vNH group (205 min vs. 178 min; P < 0.01). Overall, major complication rates were similar between the two groups. The most striking finding of the study was that in patients with class III obesity (BMI ≥ 40 kg/m²), the vNOTES approach significantly reduced the conversion rate to laparotomy compared to laparoscopy (0 vs. 23.5%; P = 0.035).</p><p><strong>Conclusion: </strong>Our study demonstrates that the most significant advantage of vNOTES surgery in obese patients undergoing benign hysterectomy is the reduction in the conversion rate to laparotomy, particularly within the class III obesity group. vNOTES statistically eliminated the risk of conversion to laparotomy compared to laparoscopy in patients with class III obesity (OR 0.08; 95% CI 0.00-0.91; P = 0.035). These findings underscore the importance of risk stratification based on patient BMI when selecting a minimally invasive surgical approach for obese patients.</p>","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 2","pages":"102-108"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endometriosis of the spleen - multidisciplinary surgical solution in a patient with a complex picture of deep infiltrating pelvic endometriosis.","authors":"Nicole Macečková, Martin Trhlík, Martin Straka, Jiří Bartoš, Barbora Chaloupková","doi":"10.48095/cccg202652","DOIUrl":"10.48095/cccg202652","url":null,"abstract":"<p><p>In general, most common localizations of endometriosis are the pelvic organs, until recently, the spleen was mentioned as the only abdominal organ resistant to the development of endometriosis. Our case report describes the differential diagnosis of a splenic cyst as an incidental finding during the examination of endometriosis, its interdisciplinary solution within surgery, gynaecology, radiology and infectious medicine, using robotic-assisted minimally invasive surgery.</p>","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"91 1","pages":"52-55"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}